CMS 117 Childhood Immunizations Problem

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    • Type: EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Heather Spengler
    • 815-599-6797
    • FHN Memorial Hospital
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      Thank you for your inquiry about CMS117v13 (performance period 2025). The measure aims to reflect the typical immunization schedule recommended for children under 2 years of age. Please note that CPT code 90698 is included in the value set "Hib Vaccine (4 dose schedule) Administered" (2.16.840.1.113883.3.464.1003.110.12.1086). You can reference the applicable codes containing these value sets on the Value Set Authority Center (VSAC) https://vsac.nlm.nih.gov/ or you can find the value set using the 2024-05-02 expansion file in the link below: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1086/expansion/eCQM%20Update%202024-05-02.

      If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs.
      Show
      Thank you for your inquiry about CMS117v13 (performance period 2025). The measure aims to reflect the typical immunization schedule recommended for children under 2 years of age. Please note that CPT code 90698 is included in the value set "Hib Vaccine (4 dose schedule) Administered" (2.16.840.1.113883.3.464.1003.110.12.1086). You can reference the applicable codes containing these value sets on the Value Set Authority Center (VSAC) https://vsac.nlm.nih.gov/ or you can find the value set using the 2024-05-02 expansion file in the link below: https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.464.1003.110.12.1086/expansion/eCQM%20Update%202024-05-02 . If you have questions about reading the measure specification or understanding data requirements, you may refer to the "Guide for Reading eCQMs" for additional guidance. If you have questions regarding implementing the measure, you may refer to the "Implementation Checklist for eCQM Annual Update" for additional guidance. These resources can be found in the eCQI Resource Center: https://ecqi.healthit.gov/ep-ec?qt-tabs_ep=ecqm-resources&global_measure_group=eCQMs .
    • CMS0117v13
    • CMS0117v12
    • The option of Pentacel for Childhood Immunizations is not being accepted in the numerator (CPT 90698), thus negatively affecting our rate for the measure.

      The option of Pentacel for Childhood Immunizations is not being accepted in the numerator (CPT 90698), thus negatively affecting our rate for the measure.  We are using Meditech 6.15 - and using Quality Vantage to run our eCQM reports.  CPT 90698 is not included in accepted codes for Hib immunization, yet is documented as an option in CDC documentation. 

            Assignee:
            AIR EC eCQM Team
            Reporter:
            Heather Spengler
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              Created:
              Updated:
              Resolved:
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